Surgical revascularization for multivessel disease in patients with acute coronary syndromes

Abstract

Background: The preferred surgical revascularization strategy for patients with acute coronary syndromes and multivessel coronary artery disease is uncertain. We evaluated the outcomes of patients with acute coronary syndrome and multivessel disease managed with coronary artery bypass grafting (CABG). Methods and Results: Between April 2007 and August 2014, 111 patients underwent emargency CABG with acute coronary syndrome. Of those, 92 patients had multivessel disease. Early postoperative outcome was evaluated. Eighty-five patients (92.4%) underwent off-pump CABG and 7 (7.6%) on-pump CABG. Sixty-seven (72.8%) required IABP. The mean number of anastomoses was 3.3±0.9 per patient. All patients received complete revascularization. Thirty-four (37%) underwent with all arterial grafts. There ware two operative death (2.2%) in this study group. Conclusion: We suggest that off-pump CABG can be performed safely and effectively in selected patients with acute coronary syndrome requiring emergency coronary revascularization.